Individual provider Active NPI

Raymond R Wells, LMP

  • Massage Therapist
  • Wenatchee, WA
National Provider Identifier
1104000959
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00025055 Issued in WA
Practice address
416 9TH St
Wenatchee, WA 98801-1503
Phone
(509) 662-2161
Fax
(509) 662-2162
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00025055 WA Primary

Addresses

Primary practice location

416 9TH St
Wenatchee, WA 98801-1503

Mailing address

416 9TH St
Wenatchee, WA 98801-1503
Phone (509) 662-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00025055WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Biggar Chiropractic Center PS PastSince Jul 1, 2009 Accepting new patients
Johnston Chiropractic Center, Inc P.S. PastSince Apr 1, 2001 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1104000959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 9TH ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011503",
            "telephone_number": "509-662-2161",
            "fax_number": "509-662-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 9TH ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011503",
            "telephone_number": "509-662-2161",
            "fax_number": "509-662-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "RAYMOND",
        "middle_name": "R",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00025055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.